Associated Grant Makers
Common Report Form
Submitted to:
Date:
Name of Organization:
Fiscal Agent (if different from your organization):
Address:
Phone:
Email:
Contact person:
Title:
Program Name (if applicable):
Grant Amount:
General Operating
Project Support
Challenge Grant
Capital/Endowment
Other:
Period that this report covers: ___/___ to ___/___
Instructions:
Please answer the following five questions and provide a complete Final Expense Report indicating how the grant award was used (5 pages maximum for answers and expenses):
Your responses to the following questions should focus specifically on the funded project or program, if applicable, or in the case of general operating grants, on your entire organization.
1. Referring to the goals and objectives described in your original grant request (or any revisions submitted subsequent to the grant award), please indicate the following:
a. What were your major accomplishments?
b. What steps or actions were used to meet your objectives and goals?
c. What measures were used to determine your progress?
d. What were the unexpected results or key learnings you would share with funders?
2. Describe any setbacks encountered during the period of this grant.
a. How did these setbacks impact your organization or project?
b. How were these setbacks addressed?
3. Who else has funded this project (or your organization), and at what level? If total proposed budget amount was not raised, indicate if program goals were altered in any way.
4. What steps are being made to ensure the sustainability of your project or organization beyond this grant period?
5. If your program involved collaboration with other organizations, please comment on its effect upon the program.
6. Is there anything else your organization would like to report or add?
FINAL REPORTS MUST BE SUBMITTED NO LATER THAN SIXTY DAYS
AFTER THE END OF THE GRANT PERIOD, OR
WITHIN THE TIME SPECIFIED BY EACH FUNDER.
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